Mechanisms and Mediators That Drive Arthritis Pain

被引:57
作者
Krustev, Eugene [1 ]
Rioux, Danielle [1 ]
McDougall, Jason J. [1 ,2 ]
机构
[1] Dalhousie Univ, Dept Pharmacol, Halifax, NS B3H 4R2, Canada
[2] Dalhousie Univ, Dept Anaesthesia Pain Management & Perioperat Med, Halifax, NS B3H 4R2, Canada
关键词
Arthritis; Pain; Inflammation; Neuropathic pain; Cytokines; Neurogenic inflammation; Proteinases; Cannabinoids; Voltage-gated ion channels; Nerve growth factor; NERVE GROWTH-FACTOR; ROOT GANGLION NEURONS; CALCIUM-CHANNEL SUBUNIT; INTESTINAL-PEPTIDE VIP; RAT SENSORY NEURONS; KNEE-JOINT; NEUROPATHIC PAIN; DOUBLE-BLIND; SUBSTANCE-P; SOMATOSTATIN RECEPTORS;
D O I
10.1007/s11914-015-0275-y
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
There are over 100 different types of arthritis and each can differ greatly in their aetiology and pathophysiology; however, one characteristic that is common to all arthritic conditions is joint pain. Musculoskeletal pain is the leading cause of disability in the world, and the number one reason arthritis patients visit their primary care physician. Despite the prevalence and burden of arthritis pain, current analgesics lack sufficient efficacy and are plagued by multiple adverse side effects. In this review, we outline the current landscape of research concerning joint pain, drawing from both preclinical and clinical studies. Specifically, this review is a discussion of the different neurophysiological processes that occur during joint disease and how inflammatory and neuropathic aspects contribute to the development of arthritis pain.
引用
收藏
页码:216 / 224
页数:9
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